Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Pad Replacement Miami J Adult
Smith, AR
See all hospitals reporting HCPCS L4210 →Price type
Mercy Hospital Fort Smith’s median price of $12 is 74% below the median hospital's median price ($47), higher than 8% of the 476 hospitals reporting HCPCS L4210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Ambetter hb ftsm novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | First Health hb ftsm first health_ccn facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Aetna hb ftsm coventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 7 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
Last updated: Jun 8, 2026
See Repair or replacement of minor orthotic device parts pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.